AR Management
Managing cash flow is often cited as one of the biggest daily challenges confronted by healthcare providers. With long insurance reimbursement cycles and convoluted claims protocols, accounts receivable can become a huge bottleneck that strains cash reserves.
At Docmatics Billing Solutions, revenue cycle optimization is our specialty. We work closely with every client to intimately understand their unique pain points across claim submissions, denial management, payment posting, patient billing and AR follow up. Customized processes are then set up to accelerate the overall billing-to-collection velocity while minimizing revenue leakage at every stage.
Some Key Aspects We Focus On Include
Insurance Underpayments or Overpayments Resolution
We scrutinize every EOB to reconcile contracted fee schedules and identify any underpaid amounts. Detailed appeals are then filed along with documentation to recover full eligible amounts. Overpayments are promptly communicated and refunded as needed to avoid punitive actions.
Patient Eligibility Verification
Confirming active insurance, changed policies, deductibles status etc. pre-care enables accurate claim amounts to be billed. We also verify patient portions to accelerate collections from patient liability through statements, payment plans etc.
Denial Analysis & Resolution
No denial reason escapes our team’s attention. Detailed reports capture metrics on leading denial causes, aged denials, payer-wise trends etc. Corrective measures can then be developed collaboratively for prompt resubmission and fastest resolution.
Accelerated Cash Posting
Incoming checks are posted with high accuracy within 48 hours into correct patient accounts. Insights on collection trends, slow-paying payers etc. further aids smoother cash flows planning/forecasting for the practice.